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Resident International Grant Botswana Rotation Pre-Departure Handbook

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Resident International Grant Botswana Rotation Pre-Departure Handbook 1 Resident International Grant Botswana Rotation Pre-Departure Handbook Education and Volunteers Abroad Committee (EVAC) American Academy of Dermatology Program Directors: Carrie Kovarik, MD; Victoria Williams, MD; Amy Forrestel, MD INDEX Page INTRODUCTION 2 Code of Conduct 3 Quick Reference Page 4 PRE-DEPARTURE & TRAVEL Pre-Travel Checklist 5 Medical Evacuation Insurance 6 Immunizations & Health 6 Confirming Housing 6 What to pack 6 Travel & Arrival 7 Orientation & Licensing 8 END OF ROTATION End of Rotation Checklist 9 DURING ROTATION Information for Living in Botswana About Botswana 9 Daily Life 10 Liza Rissik, Administrator 10 Cell phones / Internet 10 Our flats and communal living 10 Money matters 11 Transportation 11 Safety 11 Intro to Clinical Work in Botswana Introduction 12 Learning Objectives and Expectations 13 The Setting – Princess Marina Hospital 15 Rotation Structure 15 High Yield Prep Work 17 Background of Dermatology in Botswana 17 APPENDICES 1. Entertainment and Travel 19 2. About Botswana 23 3. Language (Setswana) 26 4. HIV in Botswana 27 2 INTRODUCTION Dumela! (Hello) Congratulations on receiving the AAD Residents’ International Grant (RIG) to participate in the dermatology elective at Princess Marina Hospital in Gaborone, Botswana. The rotation operates under the umbrella of the Botswana-UPenn Partnership – which is a multidisciplinary collaboration. We are so pleased that you have chosen to be a part of this wonderful experience! There are two Handbooks for this rotation. 1. The Pre-departure Handbook (this one). Read this thoroughly as soon as possible. It will help you get ready for the trip, get settled to life in Bots, and introduce you to basics of clinical care. 2. The Clinical Guide. Read this prior to departure. It contains VERY detailed information meant to be a reference for your clinical practice. Reading it beforehand is necessary to make your training week a success, but do not try to memorize the details. These two guides contain a LOT of information, and the rotation can be daunting as you are preparing to go. Just keep in mind: • Most of the information will become clear when you arrive and have your week of training (that is why the overlap week exists!) • You have a whole team to support you. You will be challenged and operating more independently than much of your residency training, but you will never be alone. • On this rotation you will work hard, take care of sick patients in a resource-limited setting (with all of the reward and frustration this entails), grow as a physician, and have fun! The RIG In an effort to promote international educational opportunities, the AAD, through the Education and Volunteers Abroad Committee (EVAC) provides funding for fifteen U.S. and Canadian senior dermatology residents to participate in an elective rotation in a developing country. The RIG has been sending U.S. residents to Botswana since 2008. These residents have provided a continuous source of dermatologic care to thousands of patients in the public sector of Botswana. The residents have also been an invaluable educational resource for the Batswana medical students, residents, and faculty. The rotation is a 4-6 week block based on the timing preferences stated on your application. The goal is to have at least a one-week overlap between residents, which will be used for training and sign-out. The clinical and teaching responsibilities of the rotation are detailed in this handbook. Non-Penn grant recipients will receive:: • Airfare booked through the AAD Travel Desk • $1700 stipend to cover room and board, evacuation insurance (discussed below), and other needs. Penn grant recipients will receive: • Airfare booked through the AAD Travel Desk • $1200 stipend to cover room, board, and other needs. The remaining $500 comes from the Kramer Penn Gift Account. Grant requirements (all covered in more detail later in this handbook) include: AAD Patient log Updated online copy of the patient/biopsy log. Lectures given uploaded to the Google drive Rotation summary/report The Staff The rotation is run by: 3 • Dr. Carrie Kovarik. Director of the AAD Resident International Grant Program, and Assoc. Professor of Dermatology, Dermatopathology and ID at the University of Pennsylvania (UPenn). • Dr. Victoria (Tori) Williams, Co-Director of the AAD Resident International Grant Program, Assist. Professor of Derm at UPenn, Site Director of the BUP Derm Rotation, Senior Lecturer at the University of Botswana and former on-site Ministry of Health of Botswana Dermatology Specialist. • Dr. Amy Forrestel, Assist. Professor of Derm at UPenn, Co-Director of the BUP Derm Rotation. Dr. Kovarik/Dr. Williams coordinate your trip and Dr. Kovarik provides remote dermatopathology consultation. Dr. Williams / Forrestel will be supervising your rotation remotely (or in person if you rotation overlaps with their time on the ground in Botswana). They are there for support inside and outside the hospital… if you need anything, reach out! Other members of the team: • Dr. Bwanali Jereni is the local full-time dermatologist at Princess Marina Hospital since October 2018. He is the Clinic Director and provides on-site resident supervision. • Breon Smith – Resident International Grant administrative assistant at the AAD • Liza Rissik – BUP administrator in Botswana. She is a wonderful resource who goes above and beyond to act as residents main ‘go to’ on the ground for issues that come up outside the hospital. Code of Conduct While in Botswana, you will be representing not only yourself but also the UPenn, the Botswana- UPenn Partnership, and the AAD. Errors in judgment or conduct in Botswana could result in compromising the entire program. You are all adults and will not be monitored. It is up to you to think carefully about the potential negative implications of questionable behavior both in and out of the clinic. So, have fun but please don’t do anything dangerous or dumb. Additionally, the communal living in the flats requires its own code of conduct. One of the true benefits of this elective is the opportunity for faculty, fellows, residents, and students to interact in an extremely informal way. Please be considerate and flexible when it comes to living arrangements. Things to remember: • Your actions, intentional or unintentional, have implications for the entire program. • You live communally. Be mindful of the “rules of the flats” (see section below) • Being nasty or aggressive in nearly any setting in Botswana is unlikely to further your cause and may result in your being sent home early. • You are living in a developing country in Africa, and may not have all of the luxuries available in the U.S. Please be flexible. The accommodations are a higher standard than most people have in Bots, and are safe and comfortable. 4 QUICK REFERENCE SHEET Pilane court address: Plot 154/155, Ext 9,Gaborone. Contact List Botswana-UPenn Partnership – Philadelphia Office Victoria (Tori) Williams, Director of BUP Derm Program, Co- Director of [email protected] MD AAD RIG, Asst Prof of Derm at UPenn. Cell: +18327520738 Previous full time local Site Director of Dermatology at PMH. Amy Forrestel, MD Co-Director BUP Derm Program. [email protected] Asst Professor of Dermatology at UPenn Cell: +18138427357 Carrie Kovarik, MD Director of the AAD RIG, Assoc Prof of Derm, [email protected] Dermpath and ID at UPenn Botswana-UPenn Partnership – Gaborone Office Liza Rissik BUP Administrator [email protected] Student, Resident and Visitor Coordinator (+267) 73874486or 72945812 Corrado Cancedda, MD BUP Director Emmanuel Thamage BUP Admin, obtains Waiver Certificates [email protected] Other Important Contacts Bwanali Jereni, MD Local dermatologist at PMH [email protected] +265 884 56 33 10 Dr.Mohan UB Pathologist [email protected] Narasimhamurthy, Breon Smith RIG Administrative Assistant at AAD [email protected] Khunong BUP Driver Cell 71481155 David BUP Driver Cell 74146934 Deluxe Cabs Reliable cab company 71300074, 73595919 Samson Reliable cab driver commonly used by residents 71742778 Main Outreach Clinic Contacts Dr. Farrar Mochudi main contact to set up lectures 72527079 [email protected] Dr. Onyach Alternative contact. Chief Medical Officer 7186 0095 [email protected] Dr Mahbub Alternative contact. 7141 9490 Dr Mungandi Kanye – Acting CMO 77018844 [email protected] Dr. Romero Lobatse – CMO. contact to set up lectures 76022559 Dikgang (Dr. Lebo) Medical officer 71421006 Dr. Leoge Superintendent Landline 5315623, 5315669 Dr. Moshabesha 76208649 Talane OPD Nurse 75321104 Mahika Nurse 71657351 Dr. Khumalo Mahalapye – main contact 74232334 [email protected] Dr. Tshitenge Alternative contact. Family Medicine 71550036 Dermatology phone 1 (iphone) 77583003 Dermatology phone 2 (Nokia) 73282498 / 2331 (from hospital) Princess Marina Hospital 3621400 x 1525 (room 4), x1527 (room 5) Pharmacy 1636/1531 5 PRE-DEPARTURE AND TRAVEL PRE-TRAVEL CHECKLIST. Further details are explained after the checklist. Now. Reach out to your home institution to start the logistical coordination and approval process. Institutions have unique, specific requirements for resident training agreements (RTAs), legal documentation, etc. Sometimes this can take many months to coordinate. Ask your program coordinator or director whom to contact about this and start these discussions NOW. It is your responsibility to get institutional approval for your rotation. Now. Check your passport. It must be a) valid, b) does not expire for at least 6 months following your intended return, and c) have at least 3 consecutive blank pages. Now. Visa. U.S. citizens do not need a visa. If you are not a US citizen, check immediately with the Botswana embassy (http://www.botswanaembassy.org/) whether you need a visa, as the process can take some time. Now. AAD release. Complete and return the release to Breon Smith [email protected] Now. Contact Drs Williams / Forrestel if you do not have a computer that you can bring to Botswana ASAP. Read Pre-Departure Handbook ASAP.
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